Routine inspection·July 30, 2021

Licensing Program Analysts (LPAs) Christine Dolores and Marybeth Donovan conducted an unannounced Required - 1 Year Annual Inspection to include Infection Control site visit and met with Rose Lustina Caregiver, Ronnie Ubungen, Administrator/Licensee, and Maybelline Ubungen, Administrator. LPAs toured the facility inside and out to include the entry point in the garage, 2 bedrooms, 2 bathrooms, kitchen, living room and exterior. All fire exit routes were free and clear of obstructions. Gazebo set up in backyard for visitation purposes. Medications are stored in locked closet. Toxins, cleaning supplies, knives and sharp objects are secured. Facility observed to have designated entry point for COVID 19 symptom screening. Bathrooms observed to be supplied with hygiene products and paper supplies. Hand washing signs were posted in bathrooms. Social distancing signs posted throughout facility. Hand sanitizer available to residents and visitors. LPAs observed supply of Personal Protective Equipment (PPE). LPAs reviewed the facility policies and procedures to include screening, visitation, isolation, disinfecting, staffing, training, supplies, PPE usage and social distancing. No citations were issued per the California Code of Regulations, Title 22. LPAs reviewed report with Ronnie Ubungen and Maybelline Ubungen and a copy provided.